Last month we discussed the importance of three letters in a discussion of how Hierarchical Condition Category (HCC) coding helps calculate risk, predict expenditures, and determine reimbursements. This month, we look at five letters — HEDIS® — that complement HCC.
A complex topic will yield to a systematic approach
In last month’s opening blog in this series, we defined the field of Population Health as including “health outcomes, patterns of health determinants, and policies and interventions that link these two.”
There are few things as satisfying as placing the last piece of a jigsaw puzzle in the correct spot.
January 29, 2021, is National Puzzle Day and even though finishing a jigsaw puzzle may be satisfying, solving unique problems specific to healthcare is another area worth celebrating.
Measuring the effectiveness of care delivery is essential to ensuring your practice is taking the right approach to patients’ needs. The Healthcare Effectiveness Data and Information Set (HEDIS®*) is an essential tool for identifying and closing gaps in care, but knowing the best way to meet quality measures is not always straightforward. That’s why HEDIS Analytics from eClinicalWorks® offers providers a set of industry-standard performance measures to evaluate care access and delivery, measure compliance, and review provider performance.
It’s been months since the COVID-19 pandemic transformed the way providers practice medicine. For many, the need for an almost overnight transformation became too much of a strain on their resources, and practices were forced to shut down permanently. Others like Little River Medical Center found the means to adapt and utilize comprehensive tools and strategies to find success in the wake of a global pandemic.
Understanding is the first step toward health
Since ancient times, the story of medicine has been one of ongoing discovery, pushing the frontiers of science forward to gain a deeper and more holistic understanding of what makes us ill and how we can restore health.
Strong roots in the Midwest
Brown Clinic has been in business since 1935, providing comprehensive, quality medicine to the residents of Watertown, South Dakota — with a friendly and down-to-earth attitude that reflects the strong community spirit found throughout the American Midwest.
When Florida medical practices talk about snowbirds, they aren’t talking ornithology. They are referring to the large subset of patients who spend the winter in the Sunshine State and scoot back North in the spring. Such patients pose one of the thorniest problems in medicine because keeping track of their health — from the specialists they have seen to whatever medications they are taking — can be a real challenge.
Dr. Martha R. Rodriguez used to have nightmares. Except she had them during the day. At the office.
“We were inundated with lists from the insurance companies,” said Dr. Rodriguez, founder of MMR Healthcare in Boynton Beach, Florida. “Every day we would get a new list — these patients have missing eye exams, these patients are missing mammograms.”
Dr. Rodriguez admits that her knee would sometimes shake when she was faced with yet another list of patients who were out of compliance with recommended exams, because she knew that the data on those lists were sometimes 90 to 120 days out of date.